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What is tesamorelin (tesa) used for?

Tesamorelin explained in plain English: what it is, what the research shows, side effects, legal status and dosage. Doses shown come only from the label or published trials, each with its source. Also called Tesa, Egrifta, Egrifta SV.

Tesamorelin is a prescription medicine. This page is educational; use it only as prescribed by a qualified healthcare professional.

What is tesamorelin?

Tesamorelin, often shortened to “tesa,” is a lab-made copy of GHRH (growth hormone-releasing hormone), a natural hormone made in the brain. It is sold as the prescription medicine Egrifta.

It tells the pituitary gland to release more of the body’s own growth hormone, instead of supplying growth hormone directly.

What is tesamorelin peptide used for?

Tesamorelin is FDA-approved to reduce excess belly fat in adults with HIV who have lipodystrophy, a change in where the body stores fat. It was approved in 2010.

Some clinics also prescribe it off-label for fat loss, body composition or anti-aging. Those uses aren’t approved, and the label says it isn’t a weight-loss drug.

What does the research on tesamorelin show?

In two large trials in people with HIV lipodystrophy, tesamorelin cut deep belly fat (visceral fat) by about 15% more than placebo over six months. The fat tended to return after people stopped.

It has also been studied for fatty liver disease in people with HIV. Its long-term effects on heart health haven’t been established.

Tesamorelin side effects and risks

Common side effects include injection-site redness and itching, joint pain, muscle aches, and swelling in the hands and feet. It can raise blood sugar, so people with diabetes need monitoring.

It shouldn’t be used during pregnancy or by people with pituitary problems or active cancer, and the body can make antibodies against it.

What is tesa/ipa?

Tesa/ipa means taking tesamorelin with ipamorelin, a research peptide that raises growth hormone through a different pathway. Some clinics sell the pairing for fat loss and recovery.

The combination isn’t an approved product and hasn’t been tested in clinical trials. Ipamorelin itself isn’t approved for any use.

Yes, tesamorelin is legal with a prescription in the US as Egrifta. It is banned in sport at all times by the World Anti-Doping Agency as a growth hormone-releasing factor.

Tesamorelin dosage

Tesamorelin is injected under the skin of the belly once a day. The dose depends on the version: Egrifta SV and the newer Egrifta WR are dosed differently.

From the official prescribing information (label). Your prescriber decides your dose and when to change it.

Tesamorelin doses, with sources
WhenDoseHow often
Egrifta SV1.4 mg[1]Once a day
Egrifta WR (approved 2025; one vial lasts 7 days)1.28 mg[2]Once a day
  1. FDA, EGRIFTA SV prescribing information
  2. DailyMed, EGRIFTA WR prescribing information

Medical disclaimer: this dosage information is for education only and comes from the source shown for each row. It is not medical advice and not a recommendation for you. Only a licensed prescriber who knows your health can decide whether Tesamorelin is right for you and at what dose. Don't start, change or stop a medicine based on this page, and don't use research peptides or unapproved drugs based on trial doses.

Frequently asked questions

What is tesamorelin peptide used for?

It is FDA-approved to reduce excess abdominal fat in adults with HIV who have lipodystrophy. It is also prescribed off-label for fat loss and anti-aging, uses that haven't been approved.

What is tesa/ipa?

"Tesa/ipa" means tesamorelin combined with ipamorelin, a research peptide that also raises growth hormone. The combination is not an approved medicine and hasn't been tested in clinical trials.

What is tesa peptide?

"Tesa peptide" is short for tesamorelin. People use it on forums and clinic menus.

Is tesamorelin a steroid or growth hormone?

Neither. It is a copy of GHRH, the hormone that tells the pituitary gland to release your own growth hormone.

Sources

  1. FDA, EGRIFTA SV (tesamorelin for injection) prescribing information
  2. FDA (2010), Egrifta summary review
  3. World Anti-Doping Agency, The Prohibited List

Last updated .

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